 <?php use_stylesheet('bootstrap.css'); ?>
<?php use_stylesheet('bootstrap-select.css'); ?>
<?php use_stylesheet('bootstrap-theme.css'); ?>
<?php use_stylesheet('style_form_beca.css'); ?>

<?php use_javascript('entidades_modulo.js'); ?>
<?php use_javascript('bootstrap.js'); ?>
<?php use_javascript('bootstrap-select.js'); ?>



<form action="<?php echo url_for('entidades/continuar') ?>" method="POST">
  <table>
      <thead>          
          <tr>
              <th colspan="2"><h2 id="titulo_form"><?php echo $title?></h2></th>
          </tr>                    
        </thead>
      <tbody>                
        <tr>
              <th><label>Nombre entidad</label></th>
              <td><input id="nombre_entidad" name="nombre" class="caja1" type="text" size="53"/></td>
       </tr>
       <tr>              
                <th><label>Tipo de entidad</label></th>
                <td>                    
                    <select id="entidad" class="form-control selectpicker" data-width="580px" data-live-search="true" data-size="3" name="tipo_entidad">
                        <option value='0'>Seleccione el tipo de entidad</option>                        
                    </select>                
                </td>                
         </tr>                    
         <tr>              
                <th><label>Paises</label></th>
                <td>
                        <select id="paises" class="form-control selectpicker" name="pais" data-width="580px" data-live-search="true" data-size="3">                        
                        <option value='0'>Seleccione el pais</option>                         
                    </select>                
                </td>                
         </tr>                    
         <tr>              
                <th><label id="etiq">Region</label></th>
                <td>
                    <select id="regiones" name="region" class="form-control selectpicker" data-width="580px" data-live-search="true" data-size="3">
                        <option value="0">Seleccione la region</option>
                    </select>              
                </td>
         </tr>         
         <tr>
             <th><label>Al d&iacute;a en sus pagos</label></th>
             <td><input type="checkbox" id="en_mora" name="debe" value="1" checked></td>
          </tr>				
          </tbody>
          <tfoot>          
          <tr>              
              <td colspan="2"><input class="boton btn btn-primary" type="submit" value="Guardar"/></td>                            
          </tr>
          </tfoot>
          </table>
      </form>